Survey

Dear Healthcare Professional,

Philips AVENT is excited to offer you complimentary breastfeeding patient materials. As a commitment to helping moms breastfeed longer, Philips AVENT offers a full range of breastfeeding and breast care products. We look forward to updating you on our innovative product line and supporting your breastfeeding education to expectant and new moms.

Please fill in your name below to receive free breastfeeding patient materials and future WHO Compliant communications.

Please fill in your name below to receive free breastfeeding patient materials and future WHO Compliant communications. First Name:
Last Name:
Accreditations & Title:

*
Please fill out your shipping and email information below. No PO Boxes please.

Please fill out your shipping and email information below. No PO Boxes please. Company:
Phone Number:
Address:
Address 2:
City/Town:
State:
ZIP:
Email:
Confirm Email:

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When do you provide breastfeeding education to your patients? Please check all that apply.

When do you provide breastfeeding education to your patients? Please check all that apply. 1st Trimester

2nd Trimester

3rd Trimester

Post Partum in Hospital

Post Partum after Hospital

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Which of the following brands of breast pumps do you recommend to expectant or new moms?

Which of the following brands of breast pumps do you recommend to expectant or new moms? Ameda

I do not recommend any brands of breast pumps to moms

Dr. Brown's

Simplisse

Lansinoh

Gerber

Whisper Wear

Playtex

Medela

Evenflo

Philips AVENT

First Years

Hygeia

Other (please specify)

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Please fill in your name below to receive free breastfeeding patient materials and future WHO Compliant communications.

*Please fill out your shipping and email information below. No PO Boxes please.

*When do you provide breastfeeding education to your patients? Please check all that apply.

*Which of the following brands of breast pumps do you recommend to expectant or new moms?

*
Please fill out your shipping and email information below. No PO Boxes please.

*
When do you provide breastfeeding education to your patients? Please check all that apply.

*
Which of the following brands of breast pumps do you recommend to expectant or new moms?